Staff members' feelings toward psychiatric patients related to their own and the patient's self-image and gender

2003 ◽  
Vol 44 (2) ◽  
pp. 69-77 ◽  
Author(s):  
Kerstin Armelius ◽  
Rolf Holmqvist
Keyword(s):  
Psychiatric Patients ◽  
Staff Members ◽  
Self Image ◽  
And Gender

scholarly journals Oral lesions in patients with psychiatric disorders

2010 ◽  
Vol 138 (9-10) ◽  
pp. 564-569 ◽  
Author(s):  
Svetlana Jovanovic ◽  
Ivanka Gajic ◽  
Bojan Mandic ◽  
Jelena Mandic ◽  
Vlada Radivojevic
Keyword(s):  
Psychiatric Disorders ◽  
Facial Pain ◽  
Psychiatric Patients ◽  
Medical Documentation ◽  
Oral Lesions ◽  
Age And Gender ◽  
Taste Changes ◽  
Swallowing Difficulties ◽  
And Gender ◽  
Healthy Persons

Introduction. Oral diseases in psychiatric patients are usually a result of bad oral hygiene and psychopharmaceutical side-effects. Objective. The aim of this study was to detect oral lesions in patients hospitalized in psychiatric institutions with the confirmed diagnosis of psychiatric illness and mood disorder with psychotic characteristics, as well as to discover the factors that can influence these oral lesions. Methods. Cross-section study consisted of 186 hospitalized patients with psychiatric disorders in the experimental group, out of whom 87 were males and 99 females. Patients were aged from 18 to 59 years, mean age 46.0?8.0 years. The control group consisted of 186 healthy persons matched for age and gender. Data on oral lesions were obtained within history and clinical examination of the oral cavity. Other medical data were collected from medical documentation. Statistical analysis was performed by Student?s t-test, chi-square test and logistic regression. Results. Dry mouth was registered in 78.5% of patients. The difference in tongue and lip lesions, burning and stinging symptoms, bruxism, facial pain, low saliva rates, halitosis, taste changes and swallowing difficulties between the patients and healthy persons was highly statistically significant (p<0.001). Age and gender, as well as the factors of main disease, influence burning and stinging, bruxism, low saliva rates, swallowing difficulties, taste changes and facial pain of the psychiatric patients. Conclusion. Results imply that psychiatric patients are more frequently involved with oral lesions than healthy persons. It is necessary to organize specific preventive and educational oral health programmes with these patients, as well as with doctors who treat the basic illness.

Outpatient Psychotropic Drug Interactions in a Public Psychiatry Hospital in Bahrain: An Audit Study

2021 ◽  
Vol 10 ◽  
Author(s):  
Yasin Tayem ◽  
Saeed Aljaberi ◽  
Ali Alfehaid ◽  
Abdulaziz Almekhyal ◽  
Haitham Jahrami ◽  
...  
Keyword(s):  
Drug Interactions ◽  
Psychotropic Drugs ◽  
Psychiatric Patients ◽  
Psychotropic Medications ◽  
Outpatient Psychiatry ◽  
High Prevalence ◽  
Public Psychiatry ◽  
And Gender ◽  
Potential Interactions ◽  
Outpatient Prescriptions

Background: Psychotropic polypharmacy is particularly common which puts psychiatric patients at high risk for developing drug-drug interactions. Objective: We aimed to study potential interactions between psychotropic medications prescribed within the outpatient psychiatry setting. Method: This was an audit study, which targeted a sample of outpatient prescriptions ordered within the outpatient clinics of the main psychiatry hospital in Bahrain over 2017. We studied the degree and correlation between psychotropic drugs. Results: The total number of prescriptions in our sample was 992 (56.1% males, 43.9% females). Psychotropic polypharmacy was detected in 842 prescriptions (84.9%). Potential interactions between psychotropic drugs were observed in 550 prescriptions (56.4%). The degree of interaction was minor in 43 prescriptions (7.8%), significant in 419 prescriptions (76.2%), and serious in 88 prescriptions (16%). Schizoaffective disorder subjects were the most likely to suffer from interactions (64.6%), whereas prescriptions issued for those who had schizophrenia contained the least number of interactions (51.6%). The total number of interactions was strongly associated with polypharmacy (p < .001), and gender (p < .01), but not with age (p > .05) or diagnosis (p > .05). Conclusion: High prevalence of polypharmacy and interactions between psychotropic medications were observed in our sample, particularly of the significant grade.

The role of dissociation and abuse among adolescents who self-harm

2019 ◽  
Vol 53 (10) ◽  
pp. 989-999 ◽  
Author(s):  
Carlos Hoyos ◽  
Vincent Mancini ◽  
Yulia Furlong ◽  
Nick Medford ◽  
Hugo Critchley ◽  
...  
Keyword(s):  
Childhood Abuse ◽  
Comparison Group ◽  
Psychiatric Patients ◽  
Later Life ◽  
Structured Interviews ◽  
Emergency Presentation ◽  
Self Harm ◽  
And Gender ◽  
Matched Comparison

Objectives: Retrospective recall of dissociative symptoms has been found to mediate the association between childhood abuse and deliberate self-harm (DSH) in later life. To disentangle the effect of recall bias, we tested whether dissociation symptoms ascertained during an acute DSH presentation mediates this link. Method: All participants with DSH were recruited during emergency presentation. Seventy-one individuals aged 11–17 years with overdose (OD) and/or self-injury (SI) participated in semi-structured interviews and psychiatric assessment to measure abuse and dissociation. An age- and gender-matched comparison group of 42 non-psychiatric patients admitted to the same service were also assessed. Results: The DSH groups reported significantly higher levels of abuse and dissociation compared to comparison group. Dissociation significantly mediated the association between abuse and DSH. Of the four dissociation subtypes, ‘depersonalisation’ was the primary mediator. Adolescents with chronic patterns of DSH and the ‘OD + SI’ self-harm type reported more severe dissociation. Conclusion: Exposure to abuse significantly increased the risk of DSH in adolescence. This association was mediated by dissociation. Our findings suggest a possible dose–response relationship between dissociation with DSH chronicity and the ‘OD + SI’ self-harm type, implicating the importance of evaluating dissociation and depersonalisation symptoms as well as abuse exposure in DSH management.

scholarly journals Bullying in university between peers and by personnel: cultural variation in prevalence, forms, and gender differences in four countries

2019 ◽  
Vol 23 (1) ◽  
pp. 143-169 ◽  
Author(s):  
Maili Pörhölä ◽  
Kristen Cvancara ◽  
Esta Kaal ◽  
Kristina Kunttu ◽  
Kaja Tampere ◽  
...  
Keyword(s):  
The United States ◽  
Bullying Victimization ◽  
Cultural Variation ◽  
Staff Members ◽  
University Personnel ◽  
The Usa ◽  
And Gender ◽  
Bullying Experiences ◽  
The University ◽  
Practical Implications

Abstract This study reports results from cross-cultural comparisons of (a) the frequency of university students’ experiences of bullying victimization and perpetration between students, (b) students’ experiences of bullying victimization by university personnel, and (c) the breakdown of victimization by the forms of bullying students have experienced. Gender breakdowns are offered. Survey data were collected from undergraduates in a total of 47 universities, using large sample sizes, similar measures and assessment methods in four countries: Argentina (N = 969), Estonia (N = 1053), Finland (N = 4403), and the United States (N = 2072). The results confirmed previous findings which suggest that a notable number of students experience bullying during university studies by fellow students and/or staff members, and a smaller number of students admit to bully their fellow students. The results add to previous knowledge by demonstrating remarkable cultural differences in the prevalence and forms of bullying and suggesting that bullying at the university level starts to transform similar to bullying in the workplace. The overall rates of bullying victimization and perpetration between students were the highest in Argentina, followed by the USA, Finland, and finally Estonia. However, victimization by university personnel was reported the most in Estonia, followed by Argentina, the USA, and Finland. Gender breakdowns in bullying experiences varied between countries. Verbal forms of bullying were common experiences. The most often reported form in all countries was unjustified criticism, belittling or humiliation related to academic performance. Students in the USA reported the highest frequencies in most forms of victimization. The results are discussed by reflecting on higher education features and comparing cultural characteristics of the countries. Practical implications are provided.

Der weibliche Aufbruch um 1900

2020 ◽  
Author(s):  
Johanna Wybrands
Keyword(s):  
New Woman ◽  
Turn Of The Century ◽  
Female Authors ◽  
Self Image ◽  
The New Woman ◽  
New Beginnings ◽  
And Gender ◽  
Gabriele Reuter ◽  
Female Subjects

Around 1900 there was a generation of female authors who saw themselves as such, even without forming closer groups and combined this self-image with new beginnings and innovation. By analysing generationality as a characteristic of female narration Johanna Wybrands examines to what extent this constellation is also effective on a narrative level. Using well-founded, context-oriented text analyses, the author shows that much-read authors at the turn of the century such as Hedwig Dohm, Gabriele Reuter and Helene Böhlau, with their now often forgotten works, made an important contribution to the interplay between generation and gender, to narrative ways of becoming female subjects and to the prehistory of the New Woman of the 1920s.

Sleep and psychiatric symptoms in young child psychiatric outpatients

2017 ◽  
Vol 23 (1) ◽  
pp. 77-95 ◽  
Author(s):  
Hanna Huhdanpää ◽  
Liisa Klenberg ◽  
Hannu Westerinen ◽  
Tuija Fontell ◽  
Eeva T Aronen
Keyword(s):  
Young Child ◽  
Sleep Disturbance ◽  
Sleep Problem ◽  
Sleep Problems ◽  
Psychiatric Symptoms ◽  
Psychiatric Patients ◽  
Daytime Somnolence ◽  
Age And Gender ◽  
Child Psychiatric ◽  
And Gender

Background: Sleep may underlie psychiatric symptoms in young children. However, not many studies have reported on sleep and its associations with symptoms in young child psychiatric patients. Objectives: To assess the amount and quality of sleep and how sleep associates with psychiatric symptoms in young child psychiatric patients. Furthermore, we evaluated how sleep and daytime somnolence differed in patients and their age- and gender-matched controls. Method: The sample consisted of 139 3- to 7-year-old child psychiatric outpatients and 139 age- and gender-matched controls from community. We evaluated sleep and daytime somnolence with the Sleep Disturbance Scale for Children in all children and psychiatric symptoms with Child Behaviour Checklist (CBCL) in the patient group. Family background information was collected from the patients. Results: Of the patients, 31.6% had a significant sleep problem and 14.4% slept too little. The most typical sleep problems were restless sleep (31.7%), morning tiredness (21.6%) and difficulties getting to sleep at night (18.7%). All types of sleep problems were associated with CBCL total, internalising and externalising problems (all p-values < .01). We observed a strong association between all types of sleep problems and emotionally reactive subscale ( p-value < .001). Furthermore, parent-reported sleep problems increased significantly the risk of having high scores on total (odds ratio (OR) = 5.3, 95% confidence interval (CI) = [2.2, 12.6], p < .001), external (OR = 3.7, 95%, CI = [1.6, 8.5], p < .01) and internal (OR = 2.5, 95% CI = [1.1, 5.5], p < .05) scores after controlling for age, gender, family structure and parent’s educational level. Even mild sleep disturbance increased the intensity of psychiatric symptoms. Compared to controls, patients slept less ( p < .001) and had significantly more frequent restless sleep, nightmares and morning and daytime somnolence. Conclusion: Sleep problems and too little sleep are prevalent in young child psychiatric patients, and they relate strongly to the intensity of psychiatric symptoms. Identification and treatment of sleep problems should be a routine part of the treatment plan for young child psychiatric patients. The results emphasise the need for assessing sleep in young child psychiatric patients, as treating the sleep problem may reduce psychiatric symptoms.

Should severely disturbed psychiatric patients be distributed or concentrated in specialized wards? An empirical study on the effects of hospital organization on ward atmosphere, aggressive behavior, and sexual molestation

1999 ◽  
Vol 14 (5) ◽  
pp. 291-297 ◽  
Author(s):  
R.P. Gebhardt ◽  
T. Steinert
Keyword(s):  
Aggressive Behavior ◽  
Structural Changes ◽  
Psychiatric Patients ◽  
Integration Policy ◽  
Hospital Organization ◽  
Staff Members ◽  
Beneficial Effects ◽  
Ward Atmosphere ◽  
Sexual Molestation ◽  
The Impact

SummaryThis study examines whether ward atmosphere, aggressive behavior, and sexual molestation will change after severely disturbed patients have been distributed over several wards determined by their place of residence, instead of concentrating them in locked single-sex wards. Four wards for predominantly psychotic patients were investigated with the German version of the Ward Atmosphere Scale (WAS), and some further questions about the observation of aggressive behavior and sexual molestation once before and twice after internal sectorisation, partial ward opening, and mixing the sexes were asked. Questionnaires (345: 162 staff members, 183 patients) were evaluated. After the structural changes, a significant improvement of ward atmosphere and a reduction of aggressive behavior was found on average in all wards, whereas the impact on sexual molestation remained unclear. Internal sectorisation and sex integration policy, resulting in distributing rather than concentrating severely disturbed patients, have beneficial effects on the social climate of acute wards.

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